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NPI Code Detail

MEDICARE: KIMBERLY SCHNELL DPT

MEDICARE:   KIMBERLY  SCHNELL  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist006508KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366842445
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SCHNELL DPT
Provider Business Mailing Address
First Line : 2520 REGENCY RD
Second Line : SUITE 150
City : LEXINGTON
State : KY
Zip : 40503-2921
Country : US
Telephone Number : 859-492-0256
Fax Number :
Provider Business Practice Location Address
First Line : 2520 REGENCY RD
Second Line : SUITE 150
City : LEXINGTON
State : KY
Zip : 40503-2921
Country : US
Telephone Number : 859-224-0834
Fax Number : 859-224-0882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 11/17/2016

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Directions to “ KIMBERLY SCHNELL DPT” Practice Location

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